Form for New Membership, Renewal of Membership, and Contributions - Calendar Year 2008

LAW AND SOCIETY ASSOCIATION

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    Is a New Membership, Renewal of Membership, or Contribution only?

(If renewal or contribution by an existing member and the information for fields marked with * has not changed, you may skip those fields).

First Name
Last Name
*Address
*Address (cont.)
*Address (cont.)
*City
*State/Province
*Zip/Postal Code
*Country
*Institutional Affiliation
*Title
*Work Phone
*FAX
E-mail
*Personal URL (if any)

*Categories of Research and Teaching Interests (click for list):

           

Specify Other   

*Racial/Ethnicity Diversity Code (click for list) [optional]

       Specify Other 

Dues and Contribution Categories:

Dues, with the exception of Student and Special International Membership, are based on annual income. Applicants who receive incomes in other than U.S. currencies should use the appropriate conversion rate (click here for a currency converter) . Select the appropriate level:

Voluntary Contributions to support Association Prize Funds and Special Funds for Minority Fellowships and International Travel Support (mark preference and enter amount) [Contributions to LSA are tax deductible for U.S. federal taxpayers]. Prizes described here.

 Harry J. Kalven Prize $

J. Willard Hurst Prize $

Herb Jacob Book Prize $

Article Prize $

International Prize $

Student Prizes $

Dissertation Prize $

General Contributions $
Minority Fellowship $

Int'l Travel Fund $
Total to be charged (dues and/or contributions, if any)   $

Credit card information (ALL FIELDS REQUIRED)

Visa    MasterCard    American Express

Card Number:     Expiry Month Year

Name on Card:

Billing Address:

Street  

City        State/Province    Zip  

Country